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Return to the operating room following decompression surgery-infection or not infection? That is the question

Christopher P Kauffman1

  • 1Premier Orthopaedics, 394 Harding Place, Suite 200, Nashville, TN 37211, USA.

The Spine Journal : Official Journal of the North American Spine Society
|February 20, 2016
PubMed
Abstract

Insights

Preoperative epidural injections before single-level lumbar decompression surgery may increase the risk of post-operative infection. This finding suggests a need to reconsider the routine use of these injections.

Area of Science:

  • Spine surgery
  • Infectious disease
  • Pain management

Background:

  • Epidural injections are commonly used for preoperative pain management in lumbar spine surgery.
  • The potential impact of these injections on surgical site infection risk is not fully understood.

Purpose of the Study:

  • To investigate the association between preoperative epidural injections and the risk of infection following single-level lumbar decompression surgery.

Main Methods:

  • Retrospective cohort study analyzing patient data.
  • Comparison of infection rates between patients who received preoperative epidural injections and those who did not.

Main Results:

  • Patients receiving preoperative epidural injections demonstrated a statistically significant increase in the risk of surgical site infection after single-level lumbar decompression.
  • The study identified a potential link between epidural steroid use and heightened infection risk.

Conclusions:

  • Preoperative epidural injections are associated with an elevated risk of infection subsequent to single-level lumbar decompression.
  • Clinical practice guidelines may need revision regarding the preoperative use of epidural injections.

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